| NPI | 1578828992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0990789-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990789-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL RN9169192) | |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2018-12-19 |